| NPI | 1316330160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104580) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000812) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2025-06-03 |